FORT HEALTHCARE INC
611 SHERMAN AVENUE EAST, FORT ATKINSON, WI 53538 www.forthealthcare.com

Total Revenue
$135,005,143
Total Expenses
$124,118,351
Net Assets
$153,590,368

Organizations Filed Purposes: OUR MISSION AT FORT HEALTHCARE IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY.

OPERATION OF A 49-BED ACUTE CARE FACILITY WITH AN EMERGENCY ROOM AND FULL COMPLEMENT OF ANCILLARY SERVICES.FORT HEALTHCARE COMMUNITY IMPACT:CHARITY CARE $469,943 CHARITY CARE IS DEFINED AS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO THOSE WHO CANNOT AFFORD TO PAY AND WHO MEET ALL CRITERIA FOR FINANCIAL ASSISTANCE. CHARITY CARE IS BASED ON ACTUAL COSTS, NOT CHARGES, AND DOES NOT INCLUDE BAD DEBT.COMMUNITY HEALTH IMPROVEMENT SERVICES $330,100 COMMUNITY HEALTH IMPROVEMENT SERVICES ARE DEFINED AS CLINICAL AND NON-CLINICAL SERVICES DESIGNED TO IMPROVE COMMUNITY HEALTH, WHICH ARE PROVIDED TO THE COMMUNITY FOR FREE OR FOR FEES THAT DID NOT COVER COSTS.FINANCIAL CONTRIBUTIONS $191,115 FINANCIAL CONTRIBUTIONS ARE DEFINED AS CONTRIBUTIONS, INCLUDING CASH, NON-CASH ITEMS SUCH AS FOOD, FURNITURE, EQUIPMENT, SUPPLIES, AND LOANED STAFF FOR VOLUNTEER AND CHARITABLE PURPOSES, MADE TO INDIVIDUALS, COMMUNITY GROUPS, OR NONPROFIT ORGANIZATIONS FOR CHARITABLE PURPOSES.COMMUNITY BUILDING ACTIVITIES $47,722 COMMUNITY BUILDING ACTIVITIES ARE DEFINED AS PROGRAMS THAT, WHILE NOT DIRECTLY RELATED TO HEALTH CARE, PROVIDE OPPORTUNITIES TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL ISSUES. COSTS FOR THESE ACTIVITIES INCLUDE CASH AND IN-KIND DONATIONS.COMMUNITY BENEFIT OPERATIONS $248,310 COMMUNITY BENEFIT OPERATIONS ARE DEFINED AS COSTS ASSOCIATED WITH DEDICATED STAFF AND COMMUNITY HEALTH NEEDS AND/OR ASSESSMENT, AS WELL AS OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS.SUBSIDIZED HEALTH SERVICES $151,578 SUBSIDIZED HEALTH SERVICES ARE DEFINED AS THE NEGATIVE MARGIN FOR CLINICAL SERVICES THAT ARE PROVIDED DESPITE A FINANCIAL LOSS BECAUSE OF AN IDENTIFIED COMMUNITY NEED THAT WOULD NEED TO BE MET BY THE GOVERNMENT OR ANOTHER NOT-FOR-PROFIT IF IT WAS NOT OFFERED. THE FINANCIAL LOSSES ARE SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN AFTER REMOVING THE EFFECTS OF CHARITY CARE, BAD DEBT, AND MEDICAID SHORTFALLS.TOTAL BENEFIT TO THE COMMUNITY FOR FISCAL YEAR 2019 $2,281,448

OPERATION OF PHYSICIAN CLINICS WITH OUTREACH INTO THE SURROUNDING COMMUNITIES.

EQUITY INCOME IN UNCONSOLIDATED AFFILIATES - HEALTH CLINIC.

Executives Listed on Filing

Total Salary includes financial earnings, benefits, and all related organization earnings listed on tax filing

NameTitleHours Per WeekTotal Salary
Michael WallacePRESIDENT/CEO40$545,465
James NelsonSR. VICE PRESIDENT / CFO40$292,717
Mary Beck MetzgerBOARD MEMBER40$57,229
Isidoro Zambrano MdPHYSICIAN1$0
Paul Schuppner DoPHYSICIAN1$0
Julie M Mokhtar DoPHYSICIAN1$0
Jonathan Mclaughlin MdPHYSICIAN1$0
Marc Erickson MdPHYSICIAN1$0
Roy BudlongTREASURER3$0
Michael Anderson MdSECRETARY (BEG. 12/18)3$0
Barry Cash MdSECRETARY (THRU 12/18)3$0
James Fitzpatrick PhdVICE CHAIR3$0
Mary BehlingCHAIR (BEG. 12/18)3$0
Michael RumpfCHAIR (THRU 12/18)3$0
Thomas VinzBOARD MEMBER3$0
Richard TelferBOARD MEMBER3$0
Jay SmithBOARD MEMBER3$0
Stephanie Nottestad MdBOARD MEMBER3$0
Shauna MeyerCHIEF OF STAFF (THRU 12/18)3$0
Ronald Meyer MdCHIEF OF STAFF (BEG. 12/18)3$0
Billie Kontny MdBOARD MEMBER3$0
Kathi CauleyBOARD MEMBER3$0

Data for this page was sourced from XML published by IRS (public 990 form dataset) from: https://s3.amazonaws.com/irs-form-990/202032269349300813_public.xml